How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $776.25 | Facility | None | $123.03 | $199.53 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $177.83 | $177.83 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $51.29 | $57.54 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $117.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $91.20 | $91.20 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $30.20 | $61.66 |
BCBS Alabama Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Alabama Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $97.72 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $63.10 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $275.42 | Facility | None | $177.83 | $177.83 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $134.90 | $147.91 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $47.86 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $97.72 | $251.19 |
United Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $165.96 | Facility | None | $120.23 | $125.89 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $109.65 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $109.65 | $208.93 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | 52 · Reduced service | $87.10 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $35.48 | $35.48 | $47.86 |
Where Alabama sits
The same service costs 4.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 39th of 51
$178
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.